Case Manager, RN

Role Overview

• Responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans
• Evaluate the medical needs of the member to facilitate and promote the member’s overall wellness
• Develop a proactive course of action to address issues presented
• Apply data driven methods to fashion individualized case management programs
• Conduct comprehensive clinical assessments
• Advocate for patients to the full extent of existing health care coverage
• Promote quality, cost effective outcomes
• Identify and escalate quality of care issues through established channels
• Provide an expected very high level of customer service
• Utilize assessment techniques to determine member’s level of health literacy

Requirements

• Must have active, current and unrestricted RN licensure in state of residence
• Must be willing and able to work Monday through Friday, 8 hour shift between 7am to 5pm Arizona time
• Must live in either PST, MST, or Arizona Time zones
• 3+ years of clinical practice experience required
• 1+ years of experience utilizing MS Office suites
• Case management experience preferred
• Case Manager Certification
• Education Associate's degree required
• BSN preferred

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility